House wakes up in his room at the Mayfield Psychiatric Hospital, takes his pills, and goes through the agonies of Vicodin withdrawal. Finally he packs up his clothing and prepares to check out, insisting the dry heaves are done and he's fine. House insists that he's there voluntarily but the nurse says he has to check with the doctor. He goes in to see the doctor, Darryl Nolan, who points out that House is legally free to go but suggest he stays. Nolan points out that he hasn't had hallucinations from Vicodin until the recent deaths of two colleagues and a father. He suggests that House check into the long-term ward. House refuses but Nolan warns that House can't get his license to practice medicine back unless he does what he says.